NPIMap

Individual provider Active NPI

Michael K Anyasike, MD

  • Family Medicine Physician
  • Marshall, MN
National Provider Identifier
1366475774
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49657 Issued in MN
Practice address
300 S Bruce St
Marshall, MN 56258-1934
Phone
(507) 532-9661
NPI assigned
Jul 9, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23916 OK
Family Medicine Physician 207Q00000X 49657 MN Primary

Addresses

Primary practice location

300 S Bruce St
Marshall, MN 56258-1934

Mailing address

303 S Bruce St
Marshall, MN 56258-1933
Phone (507) 532-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000226 MN Practitioner - Family Practice 6507891454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncGroup PAC ID 3476447541, shared by 13 NPIs, 156 clinicians

Practice addresses (Care Compare)

1216 Ryans Rd
Worthington, MN 56187-1781
Phone (507) 372-6522

1521 Carlson St
Marshall, MN 56258-2626
Phone (507) 473-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc CurrentSince Jan 1, 2022 Accepting new patients
Rural Health Care, Inc Family Medicine Current Accepting new patients
Avera Marshall CurrentSince Jan 1, 2019 Accepting new patients
Avera Marshall Current Accepting new patients
Rural Health Care, Inc CurrentSince Jan 1, 2022 Accepting new patients
Avera Marshall CurrentSince Jan 1, 2019 Accepting new patients

Locations

1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101

1521 Carlson St
Ste 100
Marshall, MN 56258
Phone (507) 476-4800

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

300 S Bruce St
Ste 100
Marshall, MN 56258

900 E Main St
Marshall, MN 56258
Phone (507) 532-2247

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

Interoperability endpoints

  • Direct secure messaging: michael.anyasike@avera.sdhealthlink.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1366475774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581933",
            "telephone_number": "507-532-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-532-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYASIKE",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.